Update on Management and Prevention of Obesity

Health Champions

Patterns and trends in adult obesity 2

Overweight and obesity among adultsHealth Survey for England 2010-2012

Adult (aged 16+) overweight and obesity: BMI ≥ 25kg/m2

More than 6 out of 10 men are overweight or obese (66.5%)

More than 5 out of 10 women are overweight or obese (57.8%)

Costs of Obesity• Reduces life expectancy by 3 years (up to

10 years in extreme)• Contributory factor in 8% annual deaths in

UK• Estimated that obesity will cost the NHS

£9.7 billion by 2050 • Wider costs to society estimated to reach

£49.9 billion (Public Health England July 2014)

Benefits of weight loss

A 5% weight loss can improve health by reducing:• risk of heart disease, stroke and diabetes• risk of come cancers • blood pressure• blood cholesterol• symptoms of osteoarthritis• risks to mother and baby during pregnancy

What is Body Mass Index?

• Weight in relation to height:

Weight (kg)

Ht(m) x Ht (m)

Category Range

Normal 18.5 – 24.0

Overweight 25.0 – 29.9

Obese 30 and over

Energy Balance

Metabolism

Energy inEnergy out

All food and drink

Activity

Energy BalanceEnergy out Energy in

Creating an Energy Gap

More energy out

Less energy in

600kcal300kcal less from food300kcal more in activity

Energy in Food

100 kcal

250ml (1/2pt) beer

80g chicken12g fat

12g (1 tbsp) oil 110g jacket potato

200g - 230g vegetables

Pub lunch:Fried chicken salad with oil and vinegar dressingButtered Jacket potato ½ pint lager Create 300kcal gap

The Eat Well Plate

Portion GuideAt each meal

Vegetables

Meat, fish, eggs and beans

Starchy foods

Department of Health

  Lowper 100g

Highper 100g

  Highper portion*

Fat 3.0g or less

Over 17.5g

  Over 21g

Saturates 1.5g or less

Over5.0g

  Over 6.0g

Sugars 5.0g or less

Over 22.5g

  Over 27g

Salt 0.3g or less

Over1.5g

  Over 1.8g

*If the serving is larger than 100g, check the amount per portion

Check, Compare, Choose

Creating an Energy Gap

•F - Frequency•A - Amount•T - Type

Physical Activity

Lorraine Hurst

Physical Activity Worker

Benefits of exercise/physical activity

• Strengthens Heart and lungs, making them more efficient at oxygen delivery

• Helps to regulate Insulin and Thyroid hormones, reducing risk of Diabetes• Increases metabolic rate and helps you lose weight• Stimulates Neuromuscular system - improving balance and power• Increases muscle growth & bone density• Increases joint mobility & reduces joint pain• Stimulates endorphins – reducing anxiety & improving mental health• Helps to prevent colon & breast cancer• Has social benefits….it can be FUN!

Recommendations for exercise/physical activity

• At least 150 minutes (2hrs and 30minutes) of moderate aerobic activity and muscle strengthening activities on 2 or more days per week.

or

 • 75 minutes (1hr and 15 minutes) of vigorous aerobic activity and

muscle strengthening activities on 2 or more days per week.

or

• An equivalent mixture of moderate and vigorous aerobic activity and muscle strengthening activities on 2 or more days per week.

Barriers to exercise/physical activity

• Pain• Cost• Poor self esteem• Family/work commitments• Lack of information• Fear of injury• Boring• Lack of motivation

Exercise/physical activity levelsA level of exercise that is easy for one individual may be exhausting for another, so remember one size

does not fit all!

The best way to judge physical activity level is to use a

rate of perceived exertion scale or a how you feel breathing scale.

This makes the score relative to the individual.

Intensity can be estimated using a scale of 0-10,

Where sitting is 0 and the highest level of effort possible is 10.

Moderate activity equals between 4-6 and vigorous activity scores 7-8

Ideas

Employee walking club Stair climb challenge Office Olympics

Bicycle to work Lunch or after work activities

Use pedometers competitions/prizes print to a different printer

Hold walking meetings keep a set of hand weights at your desk

Stand up more set goals use an activity diary

 

Displays – portion sizes, 100kcals, balanced plate

Email support – e.g. resources / links / tips / ideas for energy gap

Sponsored Weight Loss Structured Programme Drop In

Theory of change

Thinking about

changing

Preparing to change

Making changes

Maintaining changes

Relapsing

Not Interested

I got through it

what is next

www.nhs.uk/change4life

• Meal ideas, recipes, ‘swaps’, shopping lists

• Downloadable materials

• Self assessment tools

• Change 4 Life Employers Guide Workplace materials / campaign / activity ideas for promoting healthier lifestyle

Structured individual 12 week programme:

• Week by week advice, support, printable tools for self monitoring

• Detailed practical advice and guidance

• Structure for ‘drop-in’/ weekly support programme

Community Nutrition and Dietetic Service

Campus for Ageing and Vitality

Ext: 23557

Newcastle Nutrition